Acta Scientific Dental Sciences

Research ArticleVolume 1 Issue 6

Predicting Third Molar Removal Difficulty: Radiological Assessment

Mariam Mezzour*, Karima El Harti and Wafaa El Wady

Oral Surgery Department, Faculty of Dental Medicine, Mohammed V University, Rabat, Morocco

*Corresponding Author: Mariam Mezzour, Oral Surgery Department, Faculty of Dental Medicine, Mohammed V University, Rabat, Morocco.

Received: November 06, 2017; Published: November 13, 2017

Citation: Mariam Mezzour., et al. “Predicting Third Molar Removal Difficulty: Radiological Assessment”. Acta Scientific Dental Sciences 1.6 (2018).


Introduction: The avulsion of the maxillary and mandibular wisdom teeth is an act of current practice in oral and maxillofacial surgery, but the position and the relationships of this teeth with the adjacent anatomical elements, could make the avulsion difficult.

Objectives: Through our study, we tried to assess radiological predictive factors of operating difficulty during the avulsion of the third molar, by the evaluation of the frequency of the anatomical situations likely to complicate the third molar removal.

Materials and Methods: Our work is a cross-sectional study concerning all patients over 16 years old, consulting with the oral surgery department of the center for consultation and dental treatment in Rabat (Morocco), for 3rd molar complication and needing surgical removal. The study was based on the assessment of conventional radiography.

Results: The sample of the study consisted of 107 upper and lower wisdom teeth, at 60 patients. The most frequent third molar, were in Level B impaction 66 (61.7%), and in a mesioangular position 51 (47.7%). 28 (26.2%) third molars were related to the presence of caries on the distal surface of the second molar. 11(33.3%) superior wisdom teeth had a relationship with the maxillary sinus. 17 (23%) lower wisdom teeth presented at least one radiological marker of tooth root proximity to the mandibular canal.

Conclusion: The study allowed knowing the frequency of the positions and the angulations which can engender additional difficulties during the avulsion of wisdom teeth, and the adjacent anatomical structures which could be at the origin of several complications, if they were not respected during the avulsion.

Keywords: Third Molar Surgery; Difficulty Predictor; Radiological Assessment; Cross Sectional Study

Copyright: © 2018 Mariam Mezzour., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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